Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 68862 | GA |
N | 111NI0900X | Internist | 68862 | GA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 284601 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 284601 | NY |
NPI | 1073741229 |
---|---|
Provider Name | Dr. Sasa Vukelic |
First Address | Bronx, NY 10467 |
Second Address | Bronx, NY 10467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 03/09/2020 |